CFTR modulator use in post lung transplant recipients

J Heart Lung Transplant. 2021 Dec;40(12):1498-1501. doi: 10.1016/j.healun.2021.08.009. Epub 2021 Aug 26.

Abstract

Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) modulator therapy has previously been contraindicated in solid organ transplant recipients. This was due to lack of data and concern for interactions with immunosuppressive drug regimens. However, in post-lung transplant recipients, CFTR modulators may improve extrapulmonary manifestations of cystic fibrosis without impacting graft function or immunosuppressive drug levels. Herein, we present our single center experience with the use of elexacaftor/tezacaftor/ivacaftor, Trikafta, in adult post-lung transplant recipients.

Keywords: CFTR; CFTR modulator; calcineurin inhibitors; cystic fibrosis; immunosuppression; lung transplantation.

MeSH terms

  • Adult
  • Aminophenols / therapeutic use*
  • Benzodioxoles / therapeutic use*
  • Blood Glucose
  • Body Mass Index
  • Chloride Channel Agonists / therapeutic use*
  • Cystic Fibrosis / drug therapy*
  • Cystic Fibrosis / surgery*
  • Cystic Fibrosis Transmembrane Conductance Regulator / agonists*
  • Drug Combinations
  • Female
  • Forced Expiratory Volume
  • Humans
  • Indoles / therapeutic use*
  • Lung Transplantation*
  • Male
  • Middle Aged
  • Pyrazoles / therapeutic use*
  • Pyridines / therapeutic use*
  • Quinolines / therapeutic use*
  • Retrospective Studies
  • Young Adult

Substances

  • Aminophenols
  • Benzodioxoles
  • Blood Glucose
  • Chloride Channel Agonists
  • Drug Combinations
  • Indoles
  • Pyrazoles
  • Pyridines
  • Quinolines
  • elexacaftor, ivacaftor, tezacaftor drug combination
  • Cystic Fibrosis Transmembrane Conductance Regulator